Individual provider Active NPI

Debra L Palka, NP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1730867946
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN39435 Issued in TN
Practice address
2485 Tiny Town Rd
Clarksville, TN 37042-7219
Phone
(931) 502-2423
Fax
(931) 502-2370
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN39435 TN Primary

Addresses

Primary practice location

2485 Tiny Town Rd
Clarksville, TN 37042-7219

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 875-8618

Other identifiers 1

IdentifierTypeStateIssuer
Q109018MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240412002620 AZ Practitioner - Nurse Practitioner 8628417441 Reassigns benefits to 2 organizations
I20260104000137 TN Practitioner - Nurse Practitioner 8628417441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2485 Tiny Town Rd
Clarksville, TN 37042-7219
Phone (931) 502-2403

647 Dunlop LN
Suite 206
Clarksville, TN 37040-5246
Phone (931) 502-3836

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-5080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
39435TNMDPharmacist
APN39435TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FHMC Operating PC Family CurrentSince Jan 9, 2024 Accepting new patients
Clarksville Physician Services LLC Nurse Practitioner CurrentSince Jan 5, 2026 Accepting new patients
FHMC Clinic Family CurrentSince Aug 18, 2024 Accepting new patients
Fountain Hills Medical Center LLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

9700 N Saguaro Blvd
Fountain Hls, AZ 85268
Phone (602) 671-7990

9700 N Saguaro Blvd
Ste 100
Fountain Hls, AZ 85268
Phone (602) 671-7981

2485 Tiny Town Rd
Clarksville, TN 37042
Phone (931) 502-2403

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1730867946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-875-8618",
            "fax_number": "615-322-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427219",
            "telephone_number": "931-502-2423",
            "fax_number": "931-502-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKA",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN39435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q109018",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.